Ladies Golfari - Registration Form

Personal Information:
*First Name:
*Last Name:
*Gender:
*Email:
*Email Type:
Personal   Business
Address Information:
*Address Type:
 Business Address  Seasonal Residence  Home Address
*Street 1:
Street 2:
*City:
*State / Province:
*Zip / Postal Code:
*Country (Addr):
Phone Number Information:  
*Phone Number Type(s):
 Primary Business Number  Cellular Number  Residential Number
*Area Code:
*Phone Number:
Extension:
*Country (Phone):
Ladies Golfari Information:
Nickname for Name Tag:
Please reserve a
space for me in the Ladies Only Golfari:
  February 4th - 8th, 2008
  May 11th - 15th, 2008
  May 19th - 23rd, 2008
  May 24 - 28th, 2008
  May 30th - June 3rd, 2008
  September 1st - 5th, 2008
I would like to room with:
Or pair me with a:
 Smoker  Non-Smoker
Have you attended a Golfari before:
 Yes   No
If yes, when:
How many times have you attended Golfari:
Please indicate your skill level so we can place you in the correct group:
 No Golf Experience
 New Golfer, But No On-Course Experience
 New Golfer With Some On-Course Experience
I play:
 Right Handed    Left Handed
Current USGA
Handicap 18-Hole:
18-hole
average score:
Current USGA
Handicap 9-Hole:
9-hole
average score:
 
*By submitting this form, you are agreeing to receive future information from this organization and our partners.